Lal Shehbaz, Bashir Ahmed, Shua Nasir, Saqib Basr, Ahmed Ali.
Role and eff ectiveness of Bupivacaine as pain management in patients who underwent laparoscopic cholecystectomy in post operative period.
Pak J Surg Jan ;31(4):224-6.

To study the eff ectiveness of bupivacaine in the pain management of patients who had underwent a laparoscopic cholecystectomy procedure, and comparison with a control group. OBJECTIVE:Th e purpose of the study is to fi nd out the effi cacy of intraperitoneal bupivacaine injection, for post-operative pain management in patients who underwent laparoscopic cholecystectomy procedure. METHOD:Th e method of study is a randomized control trial, two groups of people were selected at random from a pool of 100 patients, each group had 50 patients each. One group did not receive intraperitoneal bupivacaine, while the other group was injected 20ml of bupivacaine (0.25%) intraperitoneally, in the sub diaphragmatic space on the right side along with in the bed of the gall bladder. RESULTS:Th e post-operative mean abdominal pain score using the VAS scale in both groups was calculated using at diff erent intervals and recorded as 1.34 +/-0.43 cm in the control group and 2.54 +/- 0.26 cm in the bupivacaine group at zero hours, , 2.11 +/- 0.32 cm in control group and 2.98 +/- 0.54 cm in bupivacaine group at two hours, 2.98 +/- 1.05 cm in control group and 3.24 +/- 0.84 cm in bupivacaine group at four hours while 3.13 +/- 1.21 cm in control group and 4.59 +/- 1.32 cm in bupivacaine group at six hours were recorded. Th e effi cacy is recorded as 36.67% in control group and 6.67% in bupivacaine group while 63.33% in control group and 93.33% in bupivacaine group. CONCLUSION: Intra peritoneal bupivacaine injection is an eff ective method for post operative pain relief in laparoscopic cholecystectomy patients. KEYWORDS: Intra peritoneal bupivacaine, laparoscopic cholecystectomy, post operative pain management.

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